Provider Demographics
NPI:1427427806
Name:PHYSICIANS HOME HEALTH & INFUSION PC
Entity type:Organization
Organization Name:PHYSICIANS HOME HEALTH & INFUSION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STREET
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:573-864-4977
Mailing Address - Street 1:3400 BUTTONWOOD DR
Mailing Address - Street 2:STE C
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-3720
Mailing Address - Country:US
Mailing Address - Phone:573-443-0551
Mailing Address - Fax:573-442-2959
Practice Address - Street 1:3400 BUTTONWOOD DR
Practice Address - Street 2:STE C
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-3720
Practice Address - Country:US
Practice Address - Phone:573-443-0551
Practice Address - Fax:573-442-2959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health